Incident handling and transparency - PowerPoint Presentation

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Incident handling and transparency

Duty of candourSlide2

Duty of CandourSlide3

Duty of CandourHealth and Social Care Act 2008 (regulated activities) Regulations 2015Duty of Candour (regulation 20)(1) A health body must act in an open and transparent way with relevant persons in relation to care and treatment provided to service users in carrying on a regulated activity Slide4

Candour“I’d far rather be treated by a doctor who at some stage in their career has made a mistake, owned up to it, learnt from the mistake and become a better doctor as a result of that” –

Peter Walsh, AvMA“if I was going to be choosing -- if the only information I had was reporting systems for my choice of hospital, I would choose the one with the highest possible reporting rate” – Professor Charles VincentSlide5

Duty of CandourGood Practice:Candour, openness, honesty and transparency and challenges to poor practice are the norm, with a culture of collective responsibility between teams and services. Compliance with the regulation is necessary, but not sufficient, to build a culture that truly puts safety first.5Slide6

Duty of CandourThe Duty of Candour is a legal duty on hospital, community and mental health trusts to inform and apologise to patients if there have been mistakes in their care that have led to significant harm Duty of Candour aims to

help patients receive accurate, truthful information from health providers All NHS provider bodies registered with the Care Quality Commission had to comply with a Statutory Duty of Candour since November 2014All independent sector health providers and social care providers had to comply from 1 April 2015 6Slide7

Duty of CandourThe Duty of Candour has two parts. General requirement that providers act in an

open and transparent way with service users. Formal notification process which must be followed when certain safety incidents occur, described in the regulation as ‘notifiable safety incidents’. Slide8

Duty of CandourProviders must have an open and honest culture at all levels within their organisation and have systems in place for knowing about notifiable safety incidents Providers must be open and honest with service users and other ‘relevant persons’ (people acting lawfully on behalf of service users) when things go wrong with care and treatment, giving them reasonable support, truthful information and a written apologyThe provider must also keep written records

CQC can take enforcement action against those providers who don’t satisfy these requirements.Slide9

CQC inspectionsWe expect all providers toHave systems in place to handle notifiable safety incidents in accordance with Regulation 20 and the other regulatory requirements in relation to such incidents. Ensure

that their staff are aware of and act in accordance with their internal policies and procedures and in line with best practice in being open and transparent. Ensure that staff are open and transparent with relevant persons in cases where care and treatment provided to people in the carrying on of a regulated activity have resulted in a notifiable safety incident. Slide10

CQC inspectionsOur inspection teams check that the provider has effective systems in place to meet the duty of candour requirements. The evidence they will look for includes: staff approach to safety incidentstraining for all staff on communicating with patients about notifiable safety incidents incident reporting forms that support the recording of a duty of candour notification

support for staff when they notify patients when something has gone wrongoversight and assurance Slide11

Duty of Candour leafletSlide12

Freedom to speak up12

1. Provide support and advice for FTSU Guardians

National Guardian – purpose

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Advise providers (NHS Trusts / Foundation Trusts)

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Advice to staff raising concerns

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Provide support for the systemSlide13

All NHS trusts have appointed a Freedom to Speak Up Guardian. They work alongside trust leadership teams to achieve the following outcomes:Safety and quality are assured

All staff have the capability to speak up effectively and are supported appropriatelyThe Board is engaged in all Freedom to Speak Up matters and issues that are raised

Speaking up processes are effective and continuously improved

Freedom to Speak Up Guardians

A culture of speaking up is instilled throughout the

organisation and the NHSSlide14

Concerns raised to dateFreedom to Speak Up Guardians shared data covering the period from the start of their role up until 31 March 2017. Slide15

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www.cqc.org.ukenquiries@cqc.org.uk@CareQualityComm

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